Mark T Gabr, M.D.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

MD15099 Issued in OR

Practice address

180 Ramsgate SQ S
Suite# 150
Salem, OR 97302-5864

Phone

(503) 485-0672

Fax

(503) 485-0673

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCC Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Arcata, CA
  • NPI 1912553736
  NPD
• Advanced Respiratory Diagnostic

  dba Ards, LLC

  • Registered Respiratory Therapist
  • Medford, OR
  • NPI 1528297843
  NPD (past)
• Pacific Sleep & Respiratory Diagnostics, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Coquille, OR
  • NPI 1083991772
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487759890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ. SE",
            "address_2": "SUITE# 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025867",
            "telephone_number": "503-485-0672",
            "fax_number": "503-485-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ S",
            "address_2": "SUITE# 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025864",
            "telephone_number": "503-485-0672",
            "fax_number": "503-485-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABR",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OR",
            "license": "MD15099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Furuya, PHARMD
• Kyla Marie Fussell
• Desiree Nicole Gabel, DNP, PMHNP-BC
• Meribeth L Gabell
• Harold Gable, D.M.D.
• Kristel J Gabriel, COTA
• Rachaell Parnassus Gabrielle
• Gabriel W Gaertner, PMHNP
• Leanna Marie Gagatko
• Bridgette Gage

• Clinical Neurophysiology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Neurophysiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.